Provider First Line Business Practice Location Address:
3707 3RD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92103-4111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-294-9011
Provider Business Practice Location Address Fax Number:
619-542-0324
Provider Enumeration Date:
07/12/2006